Thank you for posting your query at DoctorSpring.com.
Based on your history, the most likely cause of your headaches could be chronic migraine with chronic daily headaches. This requires preventive therapy (to prevent the recurrence of headaches) and medications to relieve the headaches. For prevention, preferred medications include topiramate, divalproex and beta blockers. For pain relief, rizatriptan may be used.
If you do not get better, then, botox injections are also an option.
Finally, since the character of these headaches are different from your usual headaches, we also need to consider alternative diagnosis such as sinus infection, cerebral venous sinus thrombosis (clotting of blood in brain veins), etc. So, if your pain persists, then, an MRI scan of brain may be done.
I hope it helps. Please get back if you have any more queries.
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist,
Institute of Neurosciences,
Apollo Hospitals, Jubilee Hills,
Hyderabad- 500 033, India
Patient replied :
Thank you. How long should I wait before I get an MRI done?
Thank you for getting back.
You can wait for 2-3 weeks and if pain is persisting beyond that, then MRI of brain can be done.